Specialist Private BCG Vaccine & TB Testing in London
Expert, specialist-led tuberculosis protection for infants, healthcare workers, and travellers at Hampstead Heath Pharmacy. BCG, Mantoux and TB blood testing, available every week, Tuesday to Saturday.
Book OnlineFor families, healthcare workers and travellers, from across London and beyond.
Private BCG, Mantoux and TB Blood Testing in London
We are a specialist-led private TB clinic offering BCG vaccination, the Mantoux skin test and the IGRA blood test in one place, every week from Tuesday to Saturday. Most people come to us either to be vaccinated with BCG, or to get a negative TB test for work, study or a visa. Choose the situation that matches you below and we will take you straight to what you need.
Which describes you?
BCG for a baby or child
Protection against the most serious forms of TB, for children not eligible on the NHS or who missed their NHS appointment. Under 6s usually have BCG without a skin test. Babies born on or after 1 September 2021 need their newborn SCID screening result of 'not suspected' first.
See what to bookA negative TB test for work, study or a visa
A negative Mantoux or IGRA, accepted as TB clearance for course entry, employment or some overseas visa requirements. Certificates carry the dates, batch numbers and readings that Occupational Health expects, and we work to your deadline.
See your testing optionsBCG for healthcare workers and staff
BCG for your clinical or laboratory role, with a Mantoux test first to confirm you can have it safely. We provide audit-ready documentation and work to your placement or start date.
See what to bookBCG and TB testing, five days a week
Private BCG and Mantoux can be hard to book in London, and some clinics offer them on a single set day each week. We run all three services every week, Tuesday to Saturday, so you can be seen quickly, complete a Mantoux-then-BCG course within days, and clear a work or travel deadline without the wait.
Book your appointmentWhy choose us for BCG and TB testing
The only UK-licensed BCG
We use the BCG Vaccine AJV (Danish strain 1331), the only BCG vaccine licensed in the UK and the one used by the NHS. It is handled under strict cold-chain conditions to protect its effectiveness.
An experienced specialist
Your vaccination is given by our prescribing pharmacist, Mahyar Saremi, who has delivered BCG vaccination and TB testing for over 10 years, including the precise intradermal technique BCG requires.
Testing and vaccination in one place
We provide TB screening on site. The Mantoux skin test is read at 48 to 72 hours, and the IGRA blood test is returned in about 3 working days, so you can move quickly to clearance.
For BCG vaccination
Babies, children and adults having the BCG.
BCG vaccination: who needs it and what to book
Find the profile that matches you or your child to see exactly what to book for BCG. If anything is unclear, we will confirm it with you before you are seen.
Infant, 0 to 12 months
Book the BCG vaccination directly. Bring the Red Book for the vaccination record, and for babies born on or after 1 September 2021, the SCID screening result of 'not suspected' (a letter or a digital result).
Child, 1 to 5 years
Book the BCG vaccination directly, unless your child has lived in a high-TB country for more than 3 months or had close contact with active TB, in which case book a Mantoux test first. Bring the Red Book for the vaccination record, and the SCID screening result of 'not suspected' where it applies.
Children aged 6 and over, and adults
You need a TB test before BCG, to check you do not already have TB. A Mantoux is the preferred test here; a negative result means you can go ahead with the vaccination, and it stays valid for three months. The IGRA blood test is an alternative that needs only one visit and may be used in some cases.
Previous BCG or known exposure
If you have a BCG scar or a record of previous vaccination, a repeat BCG adds no further protection. Book a scar check instead for a certificate of verification.
Important: SCID safety requirement for infants
For all babies born on or after 1 September 2021, the BCG vaccine cannot be given until the newborn SCID screening result is available and recorded as 'SCID not suspected'. SCID, severe combined immunodeficiency, is screened for as part of the routine newborn blood spot, or heel prick, test taken at about 5 days old.
Please bring to the appointment:
- The Red Book.
- The SCID screening result of 'not suspected' (a letter, or a digital result if that is how it was sent).
Every appointment is booked through our online portal, including the follow-up BCG given after a Mantoux test. We are not able to take bookings by phone or in person.
- For your first appointment (BCG, Mantoux or scar check), select "Non Travel Vaccination(s) - FIRST Appointment - 1 Person".
- For the follow-up BCG after a Mantoux test, select "Non Travel Vaccination(s) - FOLLOW UP Appointment - 1 Person".
- For the IGRA blood test, select "Blood Testing Appointment".
Not sure which to choose? The profile cards above show exactly what to book.
Why BCG vaccination matters in London
Tuberculosis has not gone away. Across England, cases have risen for several years, and London carries the heaviest burden of any region. Because the BCG vaccine is no longer part of the routine NHS schedule, many of the people who would benefit from it now arrange BCG vaccination privately.
London's TB notification rate in 2024, the highest of any region in England and more than double the national average of 9.4.
The rise in TB notifications across England in 2024, the latest full year of UKHSA data, continuing an upward trend.
The year the NHS ended its routine schools BCG programme, moving to targeted vaccination for those at higher risk.
Who should consider BCG or TB testing
BCG is recommended for people at higher risk of TB, not the population as a whole. In practice that means babies and young children living in higher-incidence parts of London, or with a parent or grandparent born in a country where TB is common, along with healthcare workers and other staff who need BCG for their role, and travellers spending extended time in regions where TB is widespread.
A single dose gives long-lasting protection, and BCG is especially effective at protecting young children against the most serious forms of the disease, including TB meningitis. From age 6 upwards, a Mantoux test is carried out first to confirm BCG can be given safely.
Every appointment is booked online, Tuesday to Saturday.
Sources: UK Health Security Agency, Tuberculosis in England, 2025 report (data to end of 2024); NHS, BCG vaccine for tuberculosis.
Who should receive the BCG vaccine?
UK guidance recommends BCG for specific groups at higher risk of tuberculosis, set out by the UK Health Security Agency in the Green Book and its May 2022 vaccine update. The common thread is a TB incidence of 40 per 100,000 or higher. We provide BCG privately for these groups, and on a case-by-case basis for others, as explained below.
What does 40 per 100,000 mean? It is the number of new TB cases each year for every 100,000 people in a country or area. You can check a specific country's rate on the UKHSA list of TB rates by country.
Infants and children
Selective programme- Infants living in an area of the UK where TB incidence is 40 per 100,000 or higher.
- Infants with a parent or grandparent born in a country where TB incidence is 40 per 100,000 or higher.
Travel
TravelHealthProRecommended for people travelling for more than three months to a country where TB incidence is 40 per 100,000 or higher, or where the risk of multidrug-resistant TB (MDR-TB) is high:
- Unvaccinated children under 16 staying with friends, family or local people.
- Unvaccinated, skin-test-negative people working somewhere with a high risk of exposure to TB, particularly MDR-TB.
Occupational
Green BookOffered to people with direct patient contact, or contact with infectious materials:
- Healthcare or laboratory workers in direct contact with TB patients or infectious clinical materials.
- Veterinary and other staff, such as abattoir workers, who handle animals or animal materials that could be infected with TB.
It is also considered for some staff working with people at higher risk of TB, such as those in prisons, homelessness services, drug and alcohol services, and refugee and asylum support.
How BCG is funded: the NHS funds BCG only for the infant selective programme above. BCG for travel is arranged privately, and occupational BCG is usually your employer's responsibility, though we can provide it here and your employer may reimburse you.
Outside these groups? We can still help.
We provide BCG privately for all three groups above, and we also vaccinate people who fall outside the strict criteria but have good reason to want protection, for example families in higher-risk London boroughs where TB is more common, or those with a personal or family link to TB that the formal thresholds do not fully capture. We consider every request individually and will talk it through with you.
Sources: UK Health Security Agency, routine immunisation schedule and Green Book (Tuberculosis); NaTHNaC TravelHealthPro, Tuberculosis; UKHSA TB rates by country; World Health Organization Global Tuberculosis Report.
Who should not have the BCG vaccine
BCG is safe for most people, but it is not suitable for everyone, and sometimes it is better to wait. The main reasons are below. If anything here might apply to you or your child, tell us when you book and we will check before vaccinating.
BCG should not be given if you:
- have already had a BCG vaccination
- have, or have had, TB, or a positive TB test (Mantoux or IGRA)
- are taking treatment for TB
- are HIV positive
- have had a serious allergic reaction to a vaccine ingredient
We check it is safe first if you, or your child:
- are having, or have recently had, treatment that weakens the immune system, such as chemotherapy, radiotherapy, biologics (including anti-TNF), high-dose steroids, methotrexate or azathioprine
- are a baby still waiting for a clear SCID screening result
- are a baby born to a mother living with HIV
- are a baby whose mother had biologic immune-suppressing treatment in pregnancy or while breastfeeding
- are a child under 2 in a household where TB is suspected or confirmed
BCG is delayed, not refused, for:
- pregnancy (BCG is given after, not during, pregnancy)
- a high fever or serious illness right now (a minor cold is fine)
- a widespread skin infection
This is a guide, not a full list. We check everyone's suitability before giving BCG, in line with national guidance (Green Book). If anything here might apply to you or your child, please tell us when you book.
How BCG vaccination works
What happens depends on age. Infants and most children under 6 have the BCG straight away. From age 6, a quick TB test comes first, and once it is negative you return for the vaccine.
Straight to BCG
Infants and most children under 6
- Book the BCG online.
- Come in with the Red Book, and the SCID result where it is needed.
- The BCG is given at the same visit.
Test, then BCG
Age 6 and over, and adults
- Book a Mantoux test first, the preferred test before BCG (an IGRA is an option in some cases).
- Have the test, then receive your result. A Mantoux is read 2 to 3 days later, an IGRA is reported in about 3 working days.
- Return for the BCG once the result is negative. It stays valid for three months, so there is no rush.
If testing is not urgent, we wait four weeks after an MMR or MMRV vaccine, because a recent MMR can interfere with the result and cause a false negative. If you need testing sooner it can still be done, but a negative result may need to be interpreted with caution. Please tell us if you or your child have had an MMR or MMRV in the last four weeks.
For a TB test or clearance
A negative Mantoux or IGRA for work, study or a visa.
A negative TB test for work, study or a visa
If you need evidence of your TB status for a job, a clinical placement, university entry or a visa, a negative Mantoux or IGRA is usually all that is required. We provide it quickly, with documentation that Occupational Health, universities and employers accept.
Often just one visit
For a Mantoux, we can read your result from a clear photo you send 2 to 3 days later, so many people do not need to come back. An IGRA needs no return visit at all.
Choose your test
Both tests detect TB infection, and a negative result on either is accepted as clearance. The difference is how they fit your schedule.
Mantoux skin test
- Two visits: the test, then the reading 2 to 3 days later.
- The reading can be done virtually from a photo if you cannot return in person.
- The lower-cost option.
Best if you have time to send a photo or return for the reading.
IGRA blood test
- One visit, a single blood sample.
- Result in about 3 working days, with no need to return.
- Costs more than the Mantoux.
Best if you are short on time or cannot come back.
To book, choose "Blood Testing Appointment" for the IGRA, or "Non Travel Vaccination(s) - FIRST Appointment - 1 Person" for the Mantoux, through the online portal. If you return in person to have a Mantoux read, book that as "Non Travel Vaccination(s) - FOLLOW UP Appointment - 1 Person".
A negative test is your clearance
For medical students, nurses, doctors, care home staff and university entry, a negative Mantoux or IGRA is the evidence you need. No vaccination is required unless you specifically want the BCG.
Certificates that pass audit
Your certificate records the date, the batch number for any vaccine given, and the millimetric induration reading for a Mantoux, meeting standard Occupational Health audit requirements.
Built for deadlines
We know placements have start dates. Turnaround is faster than standard NHS routes, with the IGRA reported in about 3 working days and appointments available Tuesday to Saturday.
How TB testing works
Two tests, both giving you a result you can use for work, study or a visa. Here is what each involves, and when to expect your result.
Mantoux skin test
Two visits, or one visit plus a photo
- Book the Mantoux online.
- Come in for the test, a small injection in the forearm.
- The reading is taken 2 to 3 days later, in person or virtually from a photo you send.
IGRA blood test
A single visit, age 6 and over
- Book the blood test online.
- Come in for the blood draw, one short visit.
- Your result and report follow in about 3 working days.
- You always come in for the Mantoux test itself. Only the reading, two to three days later, can be done virtually from a photo you send, if you only need the result or cannot return in person.
- A negative Mantoux or IGRA is your clearance. No vaccination is required unless you specifically want the BCG.
If testing is not urgent, we wait four weeks after an MMR or MMRV vaccine, because a recent MMR can interfere with the result and cause a false negative. If you need testing sooner it can still be done, but a negative result may need to be interpreted with caution. Please tell us if you have had an MMR or MMRV in the last four weeks.
Transparent pricing for BCG and TB testing
The price you see is the price you pay. Every fee is all-inclusive, with no hidden consultation charges or nurse access fees.
BCG vaccination
Consultation, the AJV vaccine and aftercare advice.
Mantoux test
Administration and the follow-up reading at 48 to 72 hours.
TB blood test (IGRA)
Blood draw, laboratory analysis and your report.
BCG scar check
Clinical inspection and a certificate of verification.
Replacement certificate
Re-issue of lost documentation.
If a Mantoux test is needed before vaccination (required for ages 6 and over), the two are charged as separate procedures, £85 for the Mantoux and £105 for the BCG, because they involve more than one appointment.
Meet your specialist
Mahyar Saremi
Superintendent Pharmacist and Independent Prescriber
With nearly two decades of clinical pharmacy experience, Mahyar leads the pharmacy's travel health, vaccination and TB testing services. Your BCG vaccination or TB test is carried out by him personally.
A registered pharmacist who has held senior roles in the NHS, Mahyar is a Member of the Faculty of Travel Medicine at the Royal College of Physicians and Surgeons of Glasgow and holds the Certificate in Travel Health awarded by the International Society of Travel Medicine. He is a nationally recognised expert in the field.
Every appointment is led by Mahyar himself, never delegated. Your eligibility is properly assessed, your questions are answered, and your certificate or record is completed to the standard that Occupational Health, universities and employers expect.
Book your appointmentFrequently asked questions
Booking and appointments
Online booking only. Every appointment, including any follow-up, is booked through our portal. The questions below walk you through it.
How do I book an appointment?
All appointments are booked online through our booking portal. For a BCG, Mantoux or scar check, choose "Non Travel Vaccination(s) - FIRST Appointment - 1 Person". For the IGRA blood test, choose "Blood Testing Appointment". We do not take bookings by phone or in person.
I need a Mantoux before my BCG. How many appointments is that?
Two. The first is the Mantoux test, a small injection in the forearm. The second is 48 to 72 hours later, when the result is read and, if it is negative and you want the vaccine, the BCG is given at the same visit. Book the first as "Non Travel Vaccination(s) - FIRST Appointment - 1 Person", and the second as "Non Travel Vaccination(s) - FOLLOW UP Appointment - 1 Person".
What do I need to bring?
For a child, please bring the Red Book so we can keep the vaccination record up to date. For babies born on or after 1 September 2021, also bring the SCID screening result of 'not suspected' (a letter, or a digital result if that is how it was sent), which we need to see before the BCG can be given.
Can the Mantoux reading be done remotely?
The test itself is always done in person. Only the reading, 2 to 3 days later, can be done virtually from a clear photo you send, which suits people who only need the result or cannot return. If you are having the BCG, the reading is done in person so the vaccine can be given at the same visit.
How soon can I be seen, and how quickly do results come back?
We run BCG and TB testing appointments every week, Tuesday to Saturday, so waits are short. An IGRA blood test is reported in about 3 working days, and a Mantoux is read 2 to 3 days after the test.
Deposits and cancellations
Why do I pay a deposit?
When you book, you pay a deposit, usually £25, to secure your appointment slot. It is not an extra charge. The deposit is deducted from the total cost of your appointment, so it comes off what you pay overall.
I have paid the deposit. Have I paid in full?
No. The deposit is a part-payment that secures your booking and is taken off the total. The remaining balance is paid at your appointment, so please expect to settle the rest when you come in.
What if I need to cancel or rearrange?
Please give at least 48 hours' notice, using the link in your confirmation email or by contacting us. With 48 hours' notice or more, your deposit is refunded minus a small £1 administration fee. With less than 48 hours' notice, or if you do not attend, the deposit is kept as a late cancellation or non-attendance charge, usually £25, which covers the clinical time reserved for you. Slightly different amounts can apply to group bookings, and these are shown when you book. Full terms are in our terms and conditions.
What if I am assessed as not suitable for the vaccine?
Occasionally, after a clinical assessment, it is not appropriate or safe to give a vaccine, for example if a Mantoux is positive. In that case a £25 consultation fee applies, reflecting the clinical assessment time reserved for you. We will always explain the reasons and talk through your options.
BCG vaccination
My baby missed the NHS BCG, or we are not eligible. Can you still give it?
Yes. We vaccinate babies and children who are not eligible on the NHS or who missed their NHS appointment, and we also consider requests from others who want protection on a case-by-case basis.
Is your BCG the same vaccine as the NHS one?
Yes. We use the only BCG vaccine licensed in the UK, BCG Vaccine AJV, the Danish strain 1331, which is the same vaccine the NHS uses.
Will the BCG leave a scar, and what are the side effects?
Usually a small scar. The vaccine is given into the top layer of skin, and as it heals it often forms a small blister and then a flat scar at the site, which is normal. Some people also get a mild fever or headache. Anything severe or unusual should be checked by a doctor.
How long does protection last, and are boosters needed?
Only one dose is given and no boosters are needed. BCG is most effective at protecting young children against the most serious forms of TB, including TB meningitis. The exact duration of protection is not precisely defined.
Do adults need a BCG?
BCG is recommended for adults at higher risk, such as healthcare and laboratory workers in contact with TB, and some travellers. Adults always have a TB test first to confirm the vaccine is suitable: a Mantoux is the preferred test before BCG, and an IGRA may be used in some cases.
TB testing
What is the difference between the Mantoux and the IGRA?
The Mantoux is a skin test that needs two visits, the test and then a reading 2 to 3 days later. The IGRA is a blood test that needs only one visit, with the result in about 3 working days. Both detect TB infection, and a negative result on either is accepted as clearance.
Will you accept a Mantoux done elsewhere?
For a skin test, no. To read and certify a Mantoux reliably we need to have administered it ourselves, so a test started elsewhere would need to be repeated with us.
What do positive and negative results mean?
The reading looks for a raised, firm area at the test site. A negative result means you can have the BCG, or use the result as your clearance. A positive result means the BCG is not given, and we will advise you on next steps, which may include further assessment for latent TB, an old, dormant exposure that is not infectious but is worth knowing about.
Is a negative test enough for my job, university or visa?
For most healthcare roles, clinical placements and university courses, a negative Mantoux or IGRA is the evidence required, and our certificate records the date, the reading and any batch number that Occupational Health expects. For visas it depends on the destination: some countries accept a negative Mantoux for entry or residence, which we can provide, but a UK entry visa requires a TB certificate from a Home Office-approved clinic using a chest X-ray, which is a different process we do not offer. It is always worth checking your own requirements, as some employers and countries ask for a particular test.
Is there anything to avoid before a Mantoux or IGRA?
Yes. If testing is not urgent, we wait four weeks after an MMR or MMRV vaccine, because a recent MMR can interfere with the result and cause a false negative. If you need testing sooner it can still be done, but a negative result may need to be interpreted with caution. Please tell us if you have had an MMR or MMRV in the last four weeks.
Appointments are available Tuesday to Saturday and quick to book online.
Book your appointmentBook your appointment
Secure your appointment using the portal below.
About your deposit: it is not an extra fee, it is deducted from your total at checkout, so you only ever pay the published price. The amount starts at £25 and varies with the number of people booked. You will see the exact figure before you confirm. See cancellation policy.
- Pick the right appointment type:
- Book FIRST for a first visit: a BCG, Mantoux or scar check.
- Book FOLLOW UP if you are returning after a Mantoux, for the reading or your BCG.
- For an IGRA blood test, choose the Blood Testing Appointment.
- Booking for someone else? Please use their name on the form, not yours.
- Booking for multiple people? Please enter all their names in the Reason for visit field.
Prefer a full-screen view? Open the booking page in a new tab →
- Bring your vaccination records, or your child's Red Book.
- For babies born on or after 1 September 2021, bring the SCID screening result of 'not suspected' (a letter or a digital result).
- Bring photo ID.
- Need to cancel or rearrange? Manage or cancel using the link in your confirmation email, with at least 48 hours' notice.
Looking for a home visit? We also offer BCG and TB testing in your home, with a minimum call-out fee of £100 plus the cost of the vaccine. Email us for a quote and include your postcode.
Medically reviewed
This page was clinically reviewed by Mahyar Saremi, Superintendent Pharmacist and Independent Prescriber (GPhC registration 2069409).
Last reviewed June 2026. Next review due June 2027.